A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Advise child’s guardian about the use of sunscreen
Educate the child about proper perineal hygiene
Administer salicylic acid for pain and fever
Ensure the child receives a maximum of 1,200 mL/day of fluid
Administer sulfamethoxazole and trimethoprim
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
- Advise child’s guardian about the use of sunscreen: This intervention is contraindicated as it is not relevant to the child’s current condition of a UTI.
- Educate the child about proper perineal hygiene: This intervention is anticipated as proper perineal hygiene is crucial in preventing recurrent UTIs.
- Administer salicylic acid for pain and fever: This intervention is contraindicated as salicylic acid is not typically used for pain and fever management in children with UTIs. Acetaminophen or ibuprofen is more appropriate.
- Ensure the child receives a maximum of 1,200 mL/day of fluid: This intervention is contraindicated as adequate fluid intake is essential for flushing out bacteria from the urinary tract. Restricting fluids is not appropriate.
- Administer sulfamethoxazole and trimethoprim: This intervention is anticipated as sulfamethoxazole and trimethoprim are commonly prescribed antibiotics for treating UTIs in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Performing the dressing change independently does not demonstrate effective collaboration. Effective collaboration involves working with other healthcare professionals to provide the best care for the patient. By performing the dressing change independently, the nurse is not utilizing the expertise and support of the healthcare team.
Choice B rationale
Seeking guidance from the wound care nurse demonstrates effective collaboration. The wound care nurse has specialized knowledge and skills in wound management, and seeking their guidance ensures that the patient receives the best possible care. This collaborative approach enhances patient outcomes and promotes a team-based approach to healthcare.
Choice C rationale
Asking another nurse to complete the dressing change does not demonstrate effective collaboration. While delegating tasks can be part of collaboration, it is important that the nurse seeks guidance from the appropriate specialist, in this case, the wound care nurse, to ensure the best care for the patient.
Choice D rationale
Consulting only the client’s family for assistance does not demonstrate effective collaboration. While involving the family in the care process is important, it is essential to collaborate with other healthcare professionals who have the expertise to provide the best care for the patient.
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
A dietitian should be consulted for a newly admitted child to assess and plan for the child’s nutritional needs, especially if the child has specific dietary requirements or is at risk for malnutrition.
Choice B rationale
An occupational therapist may be involved later in the child’s care, but they are not typically the first referral for a newly admitted child.
Choice C rationale
A physical therapist may be involved later in the child’s care, but they are not typically the first referral for a newly admitted child.
Choice D rationale
A speech-language pathologist may be involved later in the child’s care, but they are not typically the first referral for a newly admitted child.
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